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Non-occlusive ischemic colitis

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal pain, blood in stool.

Patient Data

Age: 35 years
Gender: Female

IUD present. Colon wall thickening from distal transverse through proximal sigmoid with pericolonic fat stranding. Small ascites. 

Case Discussion

The typical pattern of non-occlusive ischemic colitis - from around the splenic flexure (in this case, distal transverse) through mid sigmoid colon - a similar pattern to the IMA. This could be reported as "colitis from the distal transverse through proximal sigmoid colon in a pattern typical for non-occlusive ischemia". 

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